Organization
BERNARDO C LIVAS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARDO C LIVAS M.D. (PRESIDENT)
(847) 845-4221
Entity
Organization
Contact information
Practice address
9462 LAWRENCE CT, SCHILLER PARK, IL 60176-1552
(847) 845-4221
Mailing address
9462 LAWRENCE CT, SCHILLER PARK, IL 60176-1552
(847) 845-4221
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031604441
BCBS
IL
Enumeration date
09/16/2006
Last updated
08/22/2020
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